
<table>
	<tr>
		<td width="20%" align="right"></td>
		<td width="80%"><select name='payment_linkman' id='payment_linkman'>
		<option value="-">请选择</option>
  		</select></td>
	</tr>
	<tr>
		<td align="right">联系人：</td>
		<td><input type="text" name="z_name" id="z_name" size="16" value="{[$result.payment_x->name]}"></td>
	</tr>
	<tr>
		<td align="right">电话：</td>
		<td><input type="text" name="z_tel" id="z_tel" size="16" value="{[$result.payment_x->tel]}"></td>
	</tr>
	<tr>
		<td align="right">手机：</td>
		<td><input type="text" name="z_mobile" id="z_mobile" size="16" value="{[$result.payment_x->mobile]}"></td>
	</tr>
	<tr>
		<td align="right">备注：</td>
		<td><input type="text" name="z_content" id="z_content" size="32" value="{[$result.payment_x->content]}"></td>
	</tr>
</table>